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. 1995 Nov;79(11):1003–1006. doi: 10.1136/bjo.79.11.1003

Inferior retractor plication surgery for lower lid entropion with trichiasis in ocular cicatricial pemphigoid.

M J Elder 1, J K Dart 1, R Collin 1
PMCID: PMC505315  PMID: 8534641

Abstract

AIMS--To assess the outcome of inferior retractor plication surgery for lower lid entropion in patients with ocular cicatricial pemphigoid (OCP). This technique avoids surgery on the conjunctiva that can result in exacerbations of disease activity. METHODS--This prospective study assessed the outcomes of a standard 'Jones' type plication in 14 lids of 10 patients with OCP. Seven patients were taking systemic immunosuppression and no patients had conjunctival inflammation for the 4 months before surgery. RESULTS--Life table analysis showed a 77% chance of anatomical success at 2 years and a 54% chance of completely preventing lash-globe touch. The surgery did not cause clinical activation of conjunctival inflammation or other complications. Anatomical failure was primary (n = 2) and due to late cicatrisation (n = 1). Three further cases had restoration of normal anatomy but the patients had persistently misdirected lashes that touched the globe. CONCLUSION--This technique gives good anatomical success over long periods and is particularly safe when there is no conjunctival inflammation present before surgery.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Awan K. J. Argon laser treatment of trichiasis. Ophthalmic Surg. 1986 Oct;17(10):658–660. [PubMed] [Google Scholar]
  2. Bartley G. B., Bullock J. D., Olsen T. G., Lutz P. D. An experimental study to compare methods of eyelash ablation. Ophthalmology. 1987 Oct;94(10):1286–1289. doi: 10.1016/s0161-6420(87)80013-1. [DOI] [PubMed] [Google Scholar]
  3. Berry J. Recurrent trichiasis: treatment with laser photocoagulation. Ophthalmic Surg. 1979 Jul;10(7):36–38. [PubMed] [Google Scholar]
  4. Beyer C. K. The management of special problems associated with Stevens-Johnson syndrome and ocular pemphigoid. Trans Sect Ophthalmol Am Acad Ophthalmol Otolaryngol. 1977 Jul-Aug;83(4 Pt 1):701–707. [PubMed] [Google Scholar]
  5. Campbell D. C. Thermoablation treatment for trichiasis using the argon laser. Aust N Z J Ophthalmol. 1990 Nov;18(4):427–430. doi: 10.1111/j.1442-9071.1990.tb01829.x. [DOI] [PubMed] [Google Scholar]
  6. Elder M. J., Bernauer W. Cryotherapy for trichiasis in ocular cicatricial pemphigoid. Br J Ophthalmol. 1994 Oct;78(10):769–771. doi: 10.1136/bjo.78.10.769. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Foster C. S. Cicatricial pemphigoid. Trans Am Ophthalmol Soc. 1986;84:527–663. [PMC free article] [PubMed] [Google Scholar]
  8. Francis I. C., McCluskey P. J., Walls R. S., Wakefield D., Brewer J. M. Ocular cicatricial pemphigoid. Aust N Z J Ophthalmol. 1990 May;18(2):143–150. doi: 10.1111/j.1442-9071.1990.tb00605.x. [DOI] [PubMed] [Google Scholar]
  9. Hartzler J., Neldner K. H., Forstot S. L. X-ray epilation for the treatment of trichiasis. Arch Dermatol. 1984 May;120(5):620–624. [PubMed] [Google Scholar]
  10. Hecht S. D. Cryotherapy of trichiasis with use of the retinal cryoprobe. Ann Ophthalmol. 1977 Dec;9(12):1501–1503. [PubMed] [Google Scholar]
  11. JONES L. T. The anatomy of the lower eyelid and its relation to the cause and cure of entropion. Am J Ophthalmol. 1960 Jan;49:29–36. [PubMed] [Google Scholar]
  12. Jones L. T., Reeh M. J., Wobig J. L. Senile entropion. A new concept for correction. Am J Ophthalmol. 1972 Aug;74(2):327–329. [PubMed] [Google Scholar]
  13. Mondino B. J., Brown S. I., Lempert S., Jenkins M. S. The acute manifestations of ocular cicatricial pemphigoid: diagnosis and treatment. Ophthalmology. 1979 Apr;86(4):543–555. doi: 10.1016/s0161-6420(79)35486-0. [DOI] [PubMed] [Google Scholar]
  14. Mondino B. J., Brown S. I. Ocular cicatricial pemphigoid. Ophthalmology. 1981 Feb;88(2):95–100. doi: 10.1016/s0161-6420(81)35069-6. [DOI] [PubMed] [Google Scholar]
  15. Ormerod L. D., Fong L. P., Foster C. S. Corneal infection in mucosal scarring disorders and Sjögren's syndrome. Am J Ophthalmol. 1988 May 15;105(5):512–518. doi: 10.1016/0002-9394(88)90243-7. [DOI] [PubMed] [Google Scholar]
  16. RYCROFT B. The surgery of ocular pemphigus. Proc R Soc Med. 1961 Feb;54:111–112. [PubMed] [Google Scholar]
  17. Reacher M. H., Muñoz B., Alghassany A., Daar A. S., Elbualy M., Taylor H. R. A controlled trial of surgery for trachomatous trichiasis of the upper lid. Arch Ophthalmol. 1992 May;110(5):667–674. doi: 10.1001/archopht.1992.01080170089030. [DOI] [PubMed] [Google Scholar]
  18. Rosser P. M., Collin J. R. Retractor plication for lower lid entropion in ocular cicatricial pemphigoid. Aust N Z J Ophthalmol. 1993 May;21(2):93–97. doi: 10.1111/j.1442-9071.1993.tb00760.x. [DOI] [PubMed] [Google Scholar]
  19. Schwab I. R., Linberg J. V., Gioia V. M., Benson W. H., Chao G. M. Foreshortening of the inferior conjunctival fornix associated with chronic glaucoma medications. Ophthalmology. 1992 Feb;99(2):197–202. doi: 10.1016/s0161-6420(92)32001-9. [DOI] [PubMed] [Google Scholar]
  20. Sharif K. W., Arafat A. F., Wykes W. C. The treatment of recurrent trichiasis with argon laser photocoagulation. Eye (Lond) 1991;5(Pt 5):591–595. doi: 10.1038/eye.1991.102. [DOI] [PubMed] [Google Scholar]
  21. Shore J. W., Foster C. S., Westfall C. T., Rubin P. A. Results of buccal mucosal grafting for patients with medically controlled ocular cicatricial pemphigoid. Ophthalmology. 1992 Mar;99(3):383–395. doi: 10.1016/s0161-6420(92)31962-1. [DOI] [PubMed] [Google Scholar]
  22. Sullivan J. H., Beard C., Bullock J. D. Cryosurgery for treatment of trichiasis. Am J Ophthalmol. 1976 Jul;82(1):117–121. doi: 10.1016/0002-9394(76)90676-0. [DOI] [PubMed] [Google Scholar]
  23. Wood J. R., Anderson R. L. Complications of cryosurgery. Arch Ophthalmol. 1981 Mar;99(3):460–463. doi: 10.1001/archopht.1981.03930010462014. [DOI] [PubMed] [Google Scholar]

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